Efficacy of repetitive transcranial magnetic stimulation (rTMS) combined with 3D visualization speech rehabilitation for post-stroke dysphagia with dysarthria

Abstract:Objective To evaluate rTMS plus 3D speech therapy for stroke-related swallowing/speech disorders. Methods Totally 100 stroke patients with swallowing and articulation disorders who received treatment in our hospital were regarded as research subjects. They were assigned into regular group(50 cases) and research group(50 cases) via random number table. The regular group received conventional rehabilitation training, while the research group received rTMS combined with three-dimensional visualization speech rehabilitation training on the basis of regular group. The clinical efficacy, swallowing function, articulation function, quality of life and untoward reactions were compared between the two groups before and after treatment. Results After treatment, the total effective rates of swallowing and articulation in research group were 94.00% and 96.00%, respectively, which were conspicuously higher than those in regular group(78.00% and 80.00%, χ²/P=5.316/0.021). The scores of the Modified Mann Assessment of Swallowing Ability(MMASA) and Swallowing Quality of Life Scale(SWAL-QOL) in both groups raised, with research group being conspicuously higher than regular group(t/P=7.335/<0.001, P<0.001). Frenchay Dysarthria Assessment(FDA) scores increased in both groups, and the observation group was higher than the conventional group(t/P=5.094/<0.001). the="" total="" incidence="" of="" untoward="" reactions="" in="" regular="" group="" and="" research="" was="" with="" no="" conspicuous="" p="">0.05). Conclusion rTMS-enhanced speech rehabilitation significantly improves post-stroke dysphagia/dysarthria.